31D2210349 CLIA NUMBER - JERSEY CITY PHARMACY

Laboratory Demographics

  • CLIA Code: 31D2210349
  • Facility Name: JERSEY CITY PHARMACY
  • Facility Address: 1815 JOHN F KENNEDY BLVD
    JERSEY CITY, NJ
    ZIP 07305
  • Facility Phone: 201 433-8900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMUEL ADEOYE
  • NPI Number: 1841605342
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2210349
LAB Type Pharmacy
Facility Name JERSEY CITY PHARMACY
Street 1815 JOHN F KENNEDY BLVD
City JERSEY CITY
State NJ
ZIP 07305
Phone 201 433-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Pharmacy
Lab Director SAMUEL ADEOYE

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This page was last updated on: 9/29/2025